| NPI | 1902493620 |
|---|---|
| Doing Business As | PORTLAND PSYCHIATRIC SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | GLORIA WEISS Owner 207-550-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |